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心源性栓塞性卒中:病因、诊断与管理的最新进展

Cardioembolic stroke: An update on etiology, diagnosis and management.

作者信息

Leary Megan C, Caplan Louis R

机构信息

Division of Stroke and Cerebrovascular Disease, Palmer 127, Department of Neurology, Beth Israel Deaconess Medical Center, Boston, MA 02215, USA.

出版信息

Ann Indian Acad Neurol. 2008 Jan;11(Suppl 1):S52-S63.

PMID:35721445
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9204115/
Abstract

Stroke and ischemic heart diseases are among the most common causes of death and disability throughout the world. Even more worrisome is the suggestion that stroke rates may further increase in certain developing nations. The purpose of this article is to review the particular subtype of stroke known as cardioembolic stroke. A cardioembolic stroke occurs when the heart pumps unwanted materials into the brain circulation, resulting in the occlusion of a brain blood vessel and damage to the brain tissue. The etiology, clinical manifestations, diagnosis and management of cardioembolic stroke are reviewed.

摘要

中风和缺血性心脏病是全球最常见的死亡和致残原因之一。更令人担忧的是,有迹象表明在某些发展中国家中风发病率可能会进一步上升。本文的目的是综述一种名为心源性栓塞性中风的特殊中风亚型。当心脏将不需要的物质泵入脑循环,导致脑血管阻塞和脑组织损伤时,就会发生心源性栓塞性中风。本文将对心源性栓塞性中风的病因、临床表现、诊断和治疗进行综述。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0062/9204115/64908489dfdf/AIAN-11-52-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0062/9204115/e3ac0a0c80a5/AIAN-11-52-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0062/9204115/a2638aaed3aa/AIAN-11-52-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0062/9204115/2884850d38fb/AIAN-11-52-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0062/9204115/1be61e02c18d/AIAN-11-52-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0062/9204115/64908489dfdf/AIAN-11-52-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0062/9204115/e3ac0a0c80a5/AIAN-11-52-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0062/9204115/a2638aaed3aa/AIAN-11-52-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0062/9204115/2884850d38fb/AIAN-11-52-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0062/9204115/1be61e02c18d/AIAN-11-52-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0062/9204115/64908489dfdf/AIAN-11-52-g005.jpg

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本文引用的文献

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Risk factors for acute ischaemic stroke in young adults in South India.印度南部年轻成年人急性缺血性中风的风险因素。
J Neurol Neurosurg Psychiatry. 2007 Sep;78(9):959-63. doi: 10.1136/jnnp.2006.106831. Epub 2007 Jan 12.
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Etiology of young adult onset brain infarction in Iran.伊朗青年成人脑梗死的病因
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Effectiveness of CT perfusion in posterior circulation stroke: evaluation of perfusion abnormalities and associated clinical signs.CT灌注成像在后循环卒中中的有效性:灌注异常及相关临床体征评估
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Stroke and Recent Myocardial Infarction, Reduced Left Ventricular Ejection Fraction, Left Ventricular Thrombus, and Wall Motion Abnormalities.中风和近期心肌梗死、左心室射血分数降低、左心室血栓和室壁运动异常。
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A case report of left atrial myxoma presenting as embolic stroke.一例以栓塞性中风为表现的左心房黏液瘤病例报告。
Clin Case Rep. 2023 Oct 11;11(10):e8022. doi: 10.1002/ccr3.8022. eCollection 2023 Oct.
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Lambl's Excrescences Associated With Left Frontal Ischemic Stroke: A Case Report.与左额叶缺血性中风相关的兰布尔赘生物:一例报告
Cureus. 2020 Jul 24;12(7):e9371. doi: 10.7759/cureus.9371.
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Clopidogrel plus aspirin versus oral anticoagulation for atrial fibrillation in the Atrial fibrillation Clopidogrel Trial with Irbesartan for prevention of Vascular Events (ACTIVE W): a randomised controlled trial.氯吡格雷联合阿司匹林与口服抗凝药用于房颤患者预防血管事件的氯吡格雷与厄贝沙坦试验(ACTIVE W):一项随机对照试验
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Observations on brain embolism with special reference to the mechanism of hemorrhagic infarction.关于脑栓塞的观察,特别提及出血性梗死的机制。
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Transcatheter closure versus medical therapy of patent foramen ovale and presumed paradoxical thromboemboli: a systematic review.经导管封堵术与药物治疗卵圆孔未闭及疑似反常栓塞:一项系统评价
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